Uma lesi sici sitholakala kwi-biopsy, sibonisa isifo sikaCrohn
I-granuloma iqoqo elincane lamaseli. I-Granulomas ifomu ekuphenduleni isifo noma isimo sokuvuvukala. Ama-granulomas angakha ezindaweni ezihlukahlukene zomzimba, kuhlanganise namaphaphu. Kuhlelo lokugaya ukudla, lapho kubonakala i-granulomas, ngezinye izikhathi umphumela wesifo sofuba esiswini (IBD).
I-Granulomas Esiguleni SaseCrohn
Ama-granulomas awaqondile ngqo nesifo sikaCrohn, kodwa uma kubonakala kuyasiza ekuhlukaniseni phakathi kwesifo sochungechunge nesifo sikaCrohn.
Kodwa uma i-granuloma itholakele, futhi isiguli sinemibono ehambisana ne-IBD, ingasiza udokotela ukuba ahlolwe ngesifo sikaCrohn. I-granuloma ayikwazi ukubonakala phakathi kwe- colonoscopy ngoba ayiyona inqwaba ebonakalayo noma i-nodule.
Kulinganiselwa ukuthi abantu abangu-15% kuya ku-25% abane-Crohn's disease bane-granulomas. Kukhona ukuthambekela okuncane kwabesifazane abaningi ukuba babe nama-granulomas kunamadoda: isifundo esisodwa sabonisa ukuthi ama-57% weziguli ze-Crohn's izifo ezinama-granulomas kwakungabesifazane. Lolu hlobo lwesifo sikaCrohn ngezinye izikhathi lubizwa ngokuthi i-granulomatous colitis. I-granulomas ayibonakali emathunjini emathumbu emathumbu noma amakholoni weziguli ezine-ulcerative colitis.
AmaGranulomas Atholakala Kanjani?
Ngenkambiso yokugcina i- endoscopy (njenge-colonoscopy, endoscopy engenhla, noma i-sigmoidoscopy), izingcezu ezincane zezicubu ezibizwa ngokuthi i- biopsies ziyathathwa. Lezi zingcezu zezicubu zingahlolwa ngezindlela ezihlukahlukene. Zingahle zibe khona ukuze izingxenye ezincane zezicubu zibonwe kangcono ngaphansi kwe-microscope ngumhlengikazi.
Uma udokotela wezilwane ebheka izicubu zomzimba zamathumbu, ama-granulomas noma ezinye izinhlobo zamaseli angabonakala.
Kusho ukuthini Uma UnamaGranulomas?
Ukuba ne-granulomas ngokuvamile kucatshangelwa ukuthi ikhombisa ukuthi yisifo sikaCrohn esivela khona, kunokuba kube uhlobo oluhlukile lwe-IBD. Kungakhathaliseki ukuthi ukutholakala kwama-granulomas kusho noma yini okusho ukuthi isifo sikaCrohn sizoqhubeka sisacwaninga.
Ucwaningo oluthile lubonise ukuthi abantu abanama-granulomas bavame ukutholakala kahle ekuqaleni kwenqubo yesifo. Ngeshwa, kwakubuye kube nokuhlangana phakathi kwe-granulomas nesimo esiyinkimbinkimbi yesifo sikaCrohn esasidinga ukuhlinzeka, ukuhlinzeka ngezibhedlela ukuphatha ukuphazamiseka, nezinkinga ezinjengezintambo.
Okwenza Bafake
Ngenxa yokuthi ama-granulomas avame ukutholakala kubantu abaqala ukuveza ngesifo sikaCrohn, kuye kwaba nokucabanga okuthile ngokuthi kungani kunjalo. Esinye isizathu esinikezwe ukuthi i-granuloma yimbangela yomzimba ozama ukubhekana nesibangela sesifo sikaCrohn. Asazi ukuthi yini ebangela isifo sikaCrohn, futhi empeleni kunezimbangela eziningi, esebenza ngokubambisana ukuze kubangele ukuvuvukala. Umqondo wukuthi ngezizathu ezithile (futhi asazi ukuthi ziyini), umzimba ungase udale i-granuloma ezungeze noma yikuphi okuvimbela ukuvuvukala. I-granuloma yimizamo yokuvimbela i-trigger, noma ikunikeze ingozi.
Ukuthatha lo mbono isinyathelo esisodwa ngokuqhubekayo, ngoba ama-granulomas atholakala kaningi kubabesifazane, lokhu kuholela ekucabangeni ukuthi kungaba khona ama-hormone ahilelekile. Yiqiniso, ayikho into eyaziwa ngokuqinisekile, futhi, njengezici eziningi ze-IBD, i-granulomas isesihloko esingaphansi kwesifundo.
Igama lokubiza: gran-yoo-LO-muh
Imithombo:
Freeman HJ. "Isifo sika-Crohn sika-Granuloma." Ingabe J Gastroenterol . 2007 Sep; 21: 583-587. 4 Feb 2016.
Kelly JK, Sutherland LR. "Ukulandelana kwezikhathi ngokulandelana kwesifo seCrohn." J Clin Gastroenterol . 1988; 10: 28-33. 4 Feb 2016.
I-Yarur AJ, iStrobel SG, i-Deshpande AR, i-Abreu MT. "Izibikezelo Zesifo Esithathelisayo Esikhukhumezayo." I-Gastroenterol Hepatol (NY). 2011 Okthoba. 7: 652-659. 4 Feb 2016.